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Indiana rates for HCPCS D0250

extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector

Facilitymedian $269 · 10th–90th $27–$3550%20%10th90th$269Professionalmedian $21 · 10th–90th $17–$280%20%10th90th$21$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $269.15 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $26.92 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $16.98